Fibromialgia: qualità della vita e sindromi associate

CACACE, ENRICO;RUGGIERO, VALERIA;Anedda C;Denotti A;MINERBA, LUIGI;Perpignano G.

2006-01-01

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Abstract

Objectives: FM is a sindrome characterized by chronic, diffuse muscoloscheletal pain and by a low pain threshold at specific anatomical points (tender points). Numerous other conditions (irritable bowelsyndrome, tension-type headache, migraine headaches, etc) may overlap with the FM. Aim of this study was to evaluate the quality of life and associated clincial distress in patients with FM Methods: 53 females affected by primary FM and 40 healthy females were examined by an experienced rheumatologist and interviewed using the Fibromyalgia Impact Questionnarie. Clinical monitoring included Visual ANalogue Scale for pain and pain pressure threshold measurements. Results: Mean FIQ scores were 66.39+/-14.94 IN FM PATIENTS AND 13.15+/-5.37 IN CONTROL SUBJECTS AND THE DIFFERENCE WAS STATISTICALLY SIGNIFICANT. AMONG ASSOCIATED CLINICAL DISTRESS HIGHER FREQUENCIES HAVE BEEN FOUND for paraesthesia(87%) sleep disturbance (72%) tension type headache (70%) oto vestibule syndrome (72%) and irritable colon (60%). An ROC bend was developed in the presence of paraesthesias and oto-vestibule syndromes at the same time. This allowed us to identify an FIQ cut off value of 66.85 so FM patients were divided into 2 groups according to their FIQ scores: severe digree and mild or slight degree. Conclusions: based on oru data, it would appear possible to use a FIQ value equal or higher than 66.85 for the clinical picture of FM to be classified as severe.